NURSE-PATIENT ANALYSIS (NURSE) ANALYSIS(PATIENT) MODIFICATIONS/

INTERACTION RECOMMENDATIONS
N: Magandang umaga Nurse uses The nurse should have
sa iyo ako pala si recognition/ Peplau mentions that in also stated the
_______ . Ako ang acknowledgment as a the initial encounter of purpose of the nurse-
student nurse na therapeutic a relationship, one is a patient interaction,
assigned sa inyo mula communication. The stranger to the other. elicit client’s
ngayon hanggang nurse also provides The patient manifests expectations as well as
sabado , next week information during the lack of trust and establish the contract
ganitong araw ay orientation phase. possible resistance in order to facilitate a
nandito din ako. So Based from Peplau, which can serve as a trusting relationship.
magkwento ka nga during the orientation barrier to establish a Trust is an important
tungkol sa iyo. phase, the nurse must therapeutic nurse- component of a
introduce herself, patient relationship therapeutic
state the purpose of relationship based
P: Bakit ako the interaction, from Carl Rogers.
magkwkwento tungkol establish the contract.
sa akin, di naman tayo It is evident that these
close were not all observed
during the orientation
phase which makes it
difficult for the patient
to trust.

N: Naiintindihan kita, The nurse conveys

hindi kita pipilitin. acceptance and
respect and Man is a social being
demonstrates a non- and based from the
P: (approaches the judgmental attitude. needs of a man, there is
nurse, smiling) psst.., a need to relate with
nurse hala sorry ah sge others. There is self-
kwekwento na ako awareness in the
halika na mag-usap tayo patient, which allows
him / her to be more
open.
N: Sige kwentuhan mo Use of broad opening
ako kung ano ang gusto which allows the
mong I share. patient to take the
lead. This recognizes
client’s autonomy. Openness to
experience, which
P: Alam mo ba na according to Carl Rogers
madami akong is one attribute of a fully
pinagdadaanan mula pa functioning person.
noon hanggang ngayon.
Nawalan ako ng pamilya The conscious level of
kasi nagkaroon ng awareness according to
typhoon noon at ako Freud which makes it
easy for the patient to
lang at ang lola ko ang discuss what happened
naka survive… (cries) in the past. There is a
need for the nurse to
explore on the loss of
the family to establish
possible emotional
problems.

N: sige iiyak mo lang. Sensitivity is evident in

Gusto mo pa bang the nurse, which is
ipagpatuloy? Okay ka essential to establish a
lang ba? therapeutic
relationship
The patient experienced
P: ok lang kasi kahit a stressful life event
papaano , unti unti ko which can also lead to a
ng natatanggap. Ang crisis. Crisis is an
hirap na wala na ang overwhelming stressor
buong pamilya mo. Sila in which the previous
kasi yung source ng coping mechanisms may
support at strength mo. not work.
Si lola wala na din last
year ksi nagkasakit,
yung ibang family
members yun
nagkalandslide sa place
naming natabunan lahat
sila. Ako nasa work
noon kaya nakaligtas
ako

P: Sa ngayon, ano yung When a person is

mga ginagawa mo para experiencing a crisis,
unti-unti mo itong Aguilera emphasizes
matanggap? the need to assess 3
important areas. The
nurse is assessing
client’s coping to
determine the client’s
mental-well being.